Provider Demographics
NPI:1003962234
Name:ABELLI, RICHARD BERNARD (LMHC)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:BERNARD
Last Name:ABELLI
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39 AUSTEN WAY
Mailing Address - Street 2:#11A
Mailing Address - City:MARLBOROUGH
Mailing Address - State:MA
Mailing Address - Zip Code:01752-4755
Mailing Address - Country:US
Mailing Address - Phone:508-341-3379
Mailing Address - Fax:598-792-4026
Practice Address - Street 1:390 MAIN ST
Practice Address - Street 2:SUITE 1049
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01608-2583
Practice Address - Country:US
Practice Address - Phone:508-753-8100
Practice Address - Fax:508-792-4026
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA5473101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health